Curative effect analysis of minimally invasive puncture external ventricular drainage combined with early lumbar drainage in the treatment of intraventricular hemorrhage

Abstract

This paper aims to evaluate the effect of minimally invasive puncture external ventricular drainage (EVD) combined with early lumbar drainage (LD) for clearance of hematoma in the third and fourh ventricles in patients with intraventricular hemorrhage (IVH). Fifty-four IVH patients were analyzed. Twenty-seven patients in combined treatment group were treated with EVD and early LD while others in control group were treated with EVD only. Urokinase was administered into ventricles in all patients. The difference of hematoma clearance rate between 2 groups was compared. Long-term therapeutic effect of the two methods was also evaluated. The results showed that in combined treatment group, cases with 3-day clearance rate over 85% occupied 59.26% (16/27), which was higher than that of control group (22.22%, 6/27; χ² = 7.670, P = 0.006). Two to three days after surgery, hematoma declined more quickly in combined treatment group comparing with control group (t = 3.475, P =0.001). Long-term effective rate of treatment in combined treatment group was 81.48% (22/27), which was higher than that of control group (55.56%, 15/27; χ² = 4.207, P = 0.040). Minimally invasive puncture EVD combined with early LD could increase hematoma clearance rate in the third and fourth ventricles. It is helpful for improving the prognosis of IVH patients.

doi: 10.3969/j.issn.1672-6731.2014.05.014